| NPI | 1891356119 |
|---|---|
| Doing Business As | INNERSPACE CENTER FOR EMOTIONAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BONNIE J HERTAUS Tin Owner 812-772-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-08-02 |